Individual
DR. LISA ANN BEARDEN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MD
Contact information
Practice address
2900 MEDICAL CENTER PKWY, SUITE 370, BENTONVILLE, AR 72712-3204
(479) 876-8111
(479) 876-8110
Mailing address
500 SE PLAZA AVE, BENTONVILLE, AR 72712-3104
(479) 876-8111
(479) 876-8110
Taxonomy
Speciality
Code
Description
License number
State
207V00000X
Obstetrics & Gynecology Physician
Primary
E-6081
AR
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
178390001
—
AR
Enumeration date
07/13/2007
Last updated
11/19/2018
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